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Phase 3 Completed N=166 Randomized Triple-blind Treatment

Study of Power Doppler Ultrasound (PDUS) to Measure Response of Secukinumab Treatment in Patients With Active Psoriatic Arthritis (PsA)

Source: ClinicalTrials.gov NCT02662985 ↗
Enrolled (actual)
166
Serious AEs
4.5%
Results posted
Dec 2021
Primary outcomePrimary: Difference Between Secukinumab and Placebo in Terms of Joint Synovitis as Measured by the Power Doppler Ultrasonography (PDUS) Global OMERACT-EULAR Synovitis Score (GLOESS) — -9.05; -5.86 Adjusted Mean Change in scores — p=0.0040
◆ Published Evidence
Established
39citations · ~10 / year
Response to secukinumab on synovitis using Power Doppler ultrasound in psoriatic arthritis: 12-week results from a phase III study, ULTIMATE.
Rheumatology (Oxford, England) · 2022 · Open access · Likely link

Summary

This study was designed to leverage the sensitivity of ultrasonography available in clinical practice setting to better describe the time course of response to secukinumab (150 mg and 300 mg) on joint synovitis and enthesitis in PsA patients with an inadequate response to non-biologic DMARDs. PDUS changes in joint synovitis will be assessed using the global Outcome Measures in Rheumatology (OMERACT)-European League against Rheumatism (EULAR) synovitis score (GLOESS) and changes in joint enthesitis were assessed using the OMERACT enthesitis score.

Linked Publications

  • Response to secukinumab on synovitis using Power Doppler ultrasound in psoriatic arthritis: 12-week results from a phase III study, ULTIMATE.
    Rheumatology (Oxford, England) · 2022 · 39 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Difference Between Secukinumab and Placebo in Terms of Joint Synovitis as Measured by the Power Doppler Ultrasonography (PDUS) Global OMERACT-EULAR Synovitis Score (GLOESS)
-9.05; -5.86 0.0040 sig
SECONDARY
Proportion of Participants With American College of Rheumatology (ACR)-20 Response
56; 26 <0.0001 sig
SECONDARY
Proportion of Participants With American College of Rheumatology (ACR)-50 Response
38; 7 <0.0001 sig
SECONDARY
Spondyloarthritis Research Consortium of Canada (SPARCC)
-2.23; -1.57 0.0327 sig

Eligibility Criteria

Inclusion Criteria

  • Patient must be able to understand and communicate with the Investigator and comply with the requirements of the study and must provide written, signed and dated informed consent before any study assessment is performed.
  • Male or female patients at least 18 years of age.
  • Diagnosis of PsA as per CASPAR with active PsA for at least 6 months and a TJC ≥ 3 of 78 and SJC ≥ 3 of 76 at Baseline.
  • Patients must have a total synovitis PDUS score ≥ 2 and inflammation related to PD signal ≥ 1 for at least 2 (affected joints as observed via PDUS) of 48 joints at the Screening visit and at the Baseline visit (before infusion).
  • At least 1 clinically-involved enthesitis site at Screening and at the Baseline visit (before infusion) defined by SPARCC index different from 0.

Exclusion Criteria

  • Chest X-ray or chest MRI with evidence of ongoing infectious or malignant process obtained within 3 months prior to Screening and evaluated by a qualified physician.
  • Previous exposure to secukinumab or other biologic drug directly targeting IL-17 or IL-17 receptor.
  • Any change in the dose of oral corticosteroids in the last 4 weeks prior to the Baseline visit or use of i.v. intramuscular or intra-articular corticosteroid during the last 4 weeks prior to the enrollment visit.
  • Patients who have previously been treated with TNFα inhibitors (investigational or approved).
  • History of hypersensitivity to the study drug or its excipients or to drugs of similar classes.
  • Previous treatment with any cell-depleting therapies including but not limited to anti CD20 investigational agents (e.g. CAMPATH, anti-CD4, anti-CD5, anti-CD3, anti CD19).
  • Prohibited psoriasis treatments/medications with topical corticosteroids in the last 4 weeks prior to randomization.
  • Pregnant or nursing (lactating) women.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02662985) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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